Overview: ICON

An introduction to ICON - Babies Cry, You Can Cope!
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Appointment Form

If you have been given an outpatient appointment at the hospitals and are unable to attend for whatever reason you can use the form below.

It is really important that you let us know of any changes as soon as possible. This means we can offer the original appointment to another patient.

Please complete the form below with your contact details and as much information as possible. You can find most of the information we need on your appointment letter.

If you have any problems using this form, please call the number on your appointment letter and we will do our best to help you. You will receive a response from us so you know it has been received and actioned.

If you wish to change the date and time of your appointment you, you can click the re-book option and state any dates that are not suitable for you, or you can contact us using the number on your appointment letter.

HSJ Value Awards Finalist 2019

ICON was shortlisted as a finalist in the HSJ Value Awards Communication Initiative Award.

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What is abusive head trauma

  • ‘Shaken Baby Syndrome’
  • Child Abuse
  • Catastrophic injuries:
    • Bleeds in the brain and behind eyes
    • Fractures
  • Babies can be shaken, thrown or hit
  • It affects approximately 24 of every 100,000 babies admitted to hospital each year
  • Research suggests 1 in 9 mothers may have shaken their baby and up to 2 in 9 felt like doing so.

Who shakes and why?

  • 70% perpetrators are males – fathers/male surrogates (Kesler et a 2008; Altman et al 2010)
  • Can occur in every socio-economic group
  • Coping with crying: Living on the edge
  • Caregivers lose control and shake – baby stops crying
  • Demonstrable relationship between the normal peak of crying and babies subject to AHT. (Barr et al 2006)
  • Increase in cases in the 1st month of life, a peak at 6 weeks during the 2nd month and a decrease during the 3rd to 5th months of life


  • Crying is considered the main trigger
  • Peak of crying is 6-8 weeks of age
  • The parents or the mothers partner are responsible for AHT in 75% of babies
  • A majority of perpetrators are male
  • The most at risk groups are:
    • Male baby
    • Below 6 months
    • Low birth weight
    • Regular contact with health professionals

Crying Curve

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ICON Prevention

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The ICON message is delivered through primary prevention interventions, population based awareness, raising public health interventions and secondary prevention interventions. The materials to support the programme have been co-designed and agreed by a multi-agency steering group, a group of parents and families affected by AHT and include a wrap-around brief e-learning education package designed for professionals of all agencies who have contact with families who have babies. The core programme of ‘touch point’ interventions includes:

  • Community midwifery intervention at 36 weeks gestation
  • Hospital based intervention at birth
  • Community midwifery intervention < 10 days
  • Health Visitor (HV) intervention at primary birth visit
  • HV team intervention < 3 weeks
  • GP intervention at 6/8 week check

The ICON programme was launched to professionals at an event in Pan-Cheshire on 17th July 2019.